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25 Nov 2022
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Inter- Subtrochanteric femur fracture with clamshell fragment

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Clinical Details

Clinical and radiological findings:  70s M falls running in rain, intertroch w/ clamshell subtrochanteric femur fracture. GT/neck/head 1 piece, lesser and posterior shaft to 10cm caudal 1 piece, anterior shaft from below GT down 1 piece.

Preoperative Plan

Planning remarks: 

Surgical Discussion

Operative remarks: 

All done closed. Locked CM screw. WBAT. Note medial displacement of proximal diaphyseal section from OR to after PT. Case originally published on Twitter by @generalorthomd. Cross posted with permission.

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User Discussion (1)

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Seçkin Doğan

Was there any displacement in the fracture line at the lag screw entry point?



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Dr Ed Oates
  • Germany , Schleswig Holstein
  • Area of Specialty - General Trauma
  • Position - Specialist Consultant
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